SGN2003-00107 CITY OF TIGARD SIGN PERMIT
k . I j� DEVELOPMENT SERVICES PERMIT #: SGN2003 -00107
�" III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 5/15/03
PARCEL: 1S136CD-01401
BUSINESS NAME: AMERICAN BOOT CO. ZONE: C -G
SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 500 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 25 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary banner. Valid 5/19/03 thru 6/18/03. Sign #1
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty
Codes and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must
be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire • days from validity date.
APPROVED BY:
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PERMITTEE SIGNATURE: WA.
DATE: 5/15/03
r. ,
_ittil SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site CA. ( o
Address/ Street Address Permit No.: 7 / 7
Location (�o5Z 5(,t) pacl'f +c H Expiration Date: 51 - 6 /a2 /o 3
Suite /Bldg. # City /State Zip
T aarc1 o R q t f zz3 Receipt #: 2�3 -- / ` i 67
Name J Approved By: /C- / -
Property N M z froper-h -e5 j. L — G Date: 5 /'5'// 3
Owner Mailing Address Suite Map/TL #: (S / b C D - 0 1( k) (
Z850 5i.) Ced 0-1— J IS # 21 2. Zoning: r E7
City/State _J _ Zip Phone
,BegVer*1 0R 61)100E Electrical Permit Required? ❑ Yes [ No
Tenant or Name
A co' Building Permit Required? ❑ Yes 0 No
Business
1'1meri cad $00+
Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc
Sign I
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if p Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign „Et Temporary ❑ Wa ll 1=1 E
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
,a New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 8 ' x 3 r
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 2y i V $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) . - o o Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S e W NE NW SE SW
- Height to top of sign (feet): Z5- • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): ( 2 but must include dimensions of wall face and
sign placement.
- Copy: r • Wall signs do not require site /plot plans.
Materials: V ,4 ✓► .1 (/Z.. • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes (I No building permit.
Type: ❑ Internal 10 External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes X No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
T. - .
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this t day of a y , 20 6 3
Signat of Owne /Agent
Sari PArKS (O3) 6z0 -2 Z
Contact Person Name Phone No.
CITY OF TIGARD 5/15/2003
13125 SW Hall Blvd. 10:36:06AM
.4 t , i Tigard, Oregon 9 72 23
(503) 63 9-4 17 1
Receipt #: 27200300000000001967
Date: 05/15/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00107 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2003 -00108 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2003 -00109 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check AMERICAN BOOT COMPANY kjp 4172 In Person 45.00
Payment Total: $45.00
8'
B oots Sale 3'
Everything Must Go
Site Address: 11652 SW Pacific HWY
Tenant/Business Name: American Boot CO.
Sign Company: Sign Scope
13185 SW Pacific Hwy
Tigard, OR 97223
%TV OF T73A l3
Ap roved . X
Co .1.1natiy Approved. _...._
Fo aaly the work as escri��ed in:
F +I MIT NO....,c�1J ? 3 - c)c1 07
Let4 .r to: Follow__ ................ ..... 1.
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